Results for “vitamin D”

A healthy boy is born at term after an uncomplicated pregnancy. His mother takes no regular medicines. She tells the midwife she does not want him to have any i…

Paediatrics · Pre-internship · middle twist

A 14-month-old girl who is still breastfed and has had no supplements is referred because she is not yet walking and her legs look bowed. Her mother has dark sk…

Paediatrics · Pre-internship · middle twist

A 20-month-old boy of Greek-Australian parents is investigated for pallor and irritability. He drinks about 1.2 litres of full-cream milk a day from a bottle, i…

Paediatrics · Clinical rotations · middle twist

A 7-week-old girl is brought in because she cries inconsolably for four to five hours each evening, drawing her legs up, and has done so since three weeks of ag…

Paediatrics · Clinical rotations · middle twist

A 12-year-old boy had blood taken during a work-up for recurrent abdominal pain, which has since settled without treatment. He is well, is Tanner stage 3, and h…

Paediatrics · Pre-internship · niche

You are the intern on the postnatal ward. A healthy term boy was born two hours ago weighing 3400 g. After a full discussion of the risks, both parents decline…

Paediatrics · Pre-internship · middle twist

A 5-week-old girl is brought to the emergency department after two episodes of vomiting and an hour of unusual drowsiness. She was born at home at term after an…

Paediatrics · Clinical rotations · middle twist

A 78-year-old woman is brought by her daughter because over eighteen months she has become slower at finding words and repeatedly mislays her keys. She still dr…

Psychiatry · Clinical rotations · middle twist

A 72-year-old woman born in Vietnam attends with her daughter, who reports that over two years her mother has become repetitive, has twice left the stove burnin…

Psychiatry · Clinical rotations · middle twist

You are the intern covering a medical ward at 2 am. A 61-year-old woman with cirrhosis due to hepatitis C is admitted with hepatic encephalopathy; she is drowsy…

Acute Care · Pre-internship · niche

A 16-year-old female long-distance runner develops gradually worsening right groin pain over six weeks. She has recently increased her training volume and repor…

Rheumatology and Musculoskeletal · Clinical rotations · middle twist

A 68-year-old man with metastatic oesophageal cancer develops a symptomatic proximal deep vein thrombosis. He completed treatment for melaena from the tumour tw…

Cardiovascular · Clinical rotations · middle twist

A 58-year-old woman presents with tiredness, a sore tongue and difficulty judging the position of her feet in the dark. She has a macrocytic anaemia, a low seru…

Haematology and Oncology · Clinical rotations · common

A 71-year-old man receiving an unfractionated heparin infusion for a recent pulmonary embolus develops recurrent haematemesis and hypotension. The infusion is s…

Cardiovascular · Clinical rotations · common

A 24-year-old woman presents 30 hours after taking repeated doses of paracetamol for a dental infection. She estimates taking 10–12 g daily for four days; her p…

Emergency and Toxicology · Clinical rotations · common

A 42-year-old woman has a second proximal deep vein thrombosis while taking rivaroxaban regularly for a previous unprovoked event. Her renal function is normal…

Cardiovascular · Clinical rotations · middle twist

A 74-year-old man reports several months of fatigue and burning of his feet. He has a smooth, sore tongue and impaired vibration sense at both ankles. His haemo…

AMC · Clinical rotations · common

A 24-year-old woman at 10 weeks of pregnancy has vomited repeatedly for three weeks and has lost 7 kg. She is alert, with a pulse of 104 beats/minute and blood…

Obstetrics and Gynaecology · Clinical rotations · common

A woman develops ongoing haemorrhage during an emergency caesarean section for uterine atony. After 3 units of red blood cells and 2 units of fresh frozen plasm…

Obstetrics and Gynaecology · Pre-internship · middle twist

A 76-year-old woman taking warfarin for atrial fibrillation attends for a routine INR check, which returns at 11.0 (target 2.0–3.0). She recently completed a co…

Cardiovascular · Clinical rotations · middle twist